Several institutional aspects within the U.S. public school system impede the delivery of adapted physical education (APE) services to disabled children, including a lack of understanding and prioritization of these services by the special education team and a lack of qualified APE professionals to deliver these services. Thus, we conducted a qualitative inquiry grounded in a critical-ableism perspective to explore special education gatekeepers' experiences and perspectives of APE. Gatekeepers included parents, physical educators, and school administrators. Using a reflexive thematic analysis, we developed four interrelated themes: (a)disregard, negative, and charity mindsets toward disability; (b) systemic challenges in valuing and prioritizing APE; (c)presence as inclusion: (un)intentional marginalization in physical education; and (d)physical education for my child was a nightmare. These findings illustrate the complexities around the provision of physical education and APE to disabled children.